<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">收货人:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-delivery_name" data-rule="required" class="form-control" name="row[delivery_name]" type="text" value="{$row.delivery_name|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">收货人手机号:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-delivery_phone" data-rule="required" class="form-control" name="row[delivery_phone]" type="text" value="{$row.delivery_phone|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">所在地区:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-delivery_district" data-rule="required" class="form-control" name="row[delivery_district]" type="text" value="{$row.delivery_district|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">详细地址:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-delivery_address" data-rule="required" class="form-control" name="row[delivery_address]" type="text" value="{$row.delivery_address|htmlentities}">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
        </div>
    </div>
</form>
